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Name

Child's Personal Details

Full Name *

Name with Initials *

Gender *

Male Female

Ethnicity *

Religion *

Birthday *

Previous Pre-Schools Attended

Previous Schools Attended

Health Conditions of the Child

Father's/Guardian's Personal Details

Full Name *

Name with Initials *

NIC Number *

9 numbers and CAPITAL 'V' or 12 numbers

Email Address

Phone Number *

Highest Educational/Professional Qualification *

Employment Status *

Employed Unemployed

Mother's Personal Details

Full Name *

Name with Initials *

NIC Number *

9 numbers and CAPITAL 'V' or 12 numbers

Email Address

Phone Number

Highest Educational/Professional Qualification *

Employment Status *

Employed Unemployed

If you are the Guardian, What is your Relationship to the Child?

Family Details

Permanent Address *

Address Line 2

City

Contact Number (Land Line)

Current Address (If different from permanent address)

Address Line 2

City

Contact Number (Land Line)

Monthly Income of Family *

Parents' Marital Status *

Details of Brothers and Sisters
Please provide information of your child's siblings. Leave blank if the child does not have any siblings.

Not Attending to a School Yet

Age

Name of the Pre-School (if any)

Currently Attending a School

Age

Name of the School

Other Information

Distance from Home to School *

Less than 5 km 6 km to 10 km 11 km to 20 km More than 21 km

How did you find us? *

Hand Bills/Banners Website Parents of JMC Students School Teachers JMC Students Social Media Door-to-door campaigns Tuition Classes Seminars Goodwill Television Radio Newspapers JMC Teachers Select all applicable options.

Additional Information

Emergency Contact Person *

Emergency Contact Number *

Class Details

Branch *

Medium *

English

Admitting Grade *

Admitting Year *

Starting Month *

Starting month of the child's academic studies

Declaration

I certify that the information provided above are true and accurate to the best of my knowledge.

Education for the Next Generation Estd: 1998

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“Pioneers in Professional Education”
65/2A, Chittampalam Gardiner Mawatha
Colombo 02
T: +94 112 430451 | E: info@jmc.lk
F: +94 115 377917